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103
at midnight, a severe internal concealed haemorrhage took place.
A consultant was hastily summoned by the Medical Superintendent and
the patient's life was just saved, the child being stillborn. I think that
in both these last two cases, two maternal deaths were prevented by
institutional treatment having being arranged for.
In a case of a primipara, where podalic version was indicated, I
sent her to the Consulting Ante-Natal Clinic at the Royal Free
Hospital. Version was found there to be impossible, even under an
anaesthetic. The cause of this was found on an X-ray examination to
be due to hyper-extension of the whole foetal axis. The patient was
taken in for her confinement for fear of a still-birth occurring. A
healthy baby was born alive, and both it and the mother did well.
A number of cases of contracted pelvis were of minor degree
only. Some were sent to New End for their confinements; others
who wished to be confined at home were advised to be attended by
their own doctors.
Of the seven cases connected with venereal disease, three refused
to go to hospital for treatment or further investigation, in spite of
much persuasion. A fourth case went for a time and then refused to
go. Another very old standing case was referred back to her own
hospital, where she had been under treatment before. Two others went
through the course of treatment advised with splendid results, both
mothers and children doing extremely well.
(Signed) MARY KIDD, m.b. (Lond.).
6th April, 1925.